Document Detail

Abdominal decompression in normal pregnancy.
MedLine Citation:
PMID:  22696321     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Abdominal decompression was developed as a means of pain relief during labour. It has also been used for complications of pregnancy, and in healthy pregnant women in an attempt to improve fetal wellbeing and intellectual development.
OBJECTIVES: The objective of this review was to assess the effects of prophylactic abdominal decompression on pregnancy outcomes such as admission for pre-eclampsia, fetal growth, perinatal morbidity and mortality and childhood development.
SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (2 February 2012).
SELECTION CRITERIA: Randomised trials comparing abdominal decompression with dummy decompression or no treatment in healthy pregnant women.
DATA COLLECTION AND ANALYSIS: Both review authors assessed eligibility and trial quality.
MAIN RESULTS: Three studies were included. There was no difference between the abdominal decompression groups and the control groups for low birthweight (risk ratio (RR) 0.69, 95% confidence interval (CI) 0.27 to 1.77) and perinatal mortality (RR 2.47, 95% CI 0.77 to 7.92). There were no differences in admission for pre-eclampsia, Apgar score and childhood development.
AUTHORS' CONCLUSIONS: There is no evidence to support the use of abdominal decompression in normal pregnancies. Future research should be directed towards the use of abdominal decompression during labour, and during complicated pregnancies.
G Justus Hofmeyr; Regina Kulier
Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review     Date:  2012-06-13
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  6     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-14     Completed Date:  2012-08-13     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD001062     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, East London Hospital Complex, University of the Witwatersrand, University of FortHare, Eastern Cape Department of Health, East London, South Africa.
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MeSH Terms
Child Development*
Child, Preschool
Lower Body Negative Pressure / methods*
Patient Dropouts / statistics & numerical data
Pre-Eclampsia / prevention & control
Pregnancy Complications / prevention & control*
Randomized Controlled Trials as Topic
Update Of:
Cochrane Database Syst Rev. 2000;(2):CD001062   [PMID:  10796233 ]

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